Individual
DR. JACQUELINE KINLEY REA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
333 W CORDOVA RD, SUITE 100, SANTA FE, NM 87505-1850
(505) 984-9101
(505) 984-8998
Mailing address
333 W CORDOVA RD, SUITE 100, SANTA FE, NM 87505-1850
(505) 984-9101
(505) 984-8998
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3710
NM
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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